HEIDI L KNICKERBOCKER


Address: 509 3rd Ave, Seattle, WA 98104-3282
Phone: 2064641570

HEIDI L KNICKERBOCKER (NPI# 1154893311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154893311
Entity Type Individual
Full Name HEIDI L KNICKERBOCKER
Credential RN
Practice Address 509 3rd Ave
Seattle
WA 98104-3282
Practice Telephone 2064641570
Mailing Telephone 2064641570
Enumeration Date 2018-12-27
Last Update Date 2018-12-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
RN60478116 WA Nursing Service Providers

Other Providers HEIDI KNICKERBOCKER

NPI Name Taxonomy Address Enumeration
1700945037 Heidi Knickerbocker Obstetrics & Gynecology 1801 Nw Market St, #100, Seattle, WA 98107-3987 2006-12-06

Office Location

Street Address 509 3RD AVE
City SEATTLE
State WA
Zip Code 98104-3282

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073030508 Neighborcare Health Clinic/Center 509 3rd Ave, Seattle, WA 98104-3282 2017-08-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699394312 Richard Charles Harruff Pathology King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 2020-04-13
1558999474 Nathan Richard Benner Student in an Organized Health Care Education/Training Program Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 2020-03-27
1063058493 Brook, LLC. Health Educator 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 2019-11-20
1609418813 Stephanie Amanda Ann Mason Student in an Organized Health Care Education/Training Program 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 2019-10-09
1013480250 Robert Kenneth Lozier Pedorthist Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 2019-01-10
1548739576 Lee Hanses Physical Therapist 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 2018-11-20
1821579095 Karissa Lin Lee Pharmacist 401 Broadway #2075, Seattle, WA 98104 2018-08-27
1477042091 Maham Jehangir Student in an Organized Health Care Education/Training Program 325 9th Ave Department of Radiology, Seattle, WA 98104 2018-05-09
1740786581 Philip Daniel Tolley Student in an Organized Health Care Education/Training Program 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 2018-04-02
1528564242 Vanessa Dawn Leonhard Student in an Organized Health Care Education/Training Program 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 2018-04-02
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Taxonomy Information

Taxonomy Code 163WP0809X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538444377 Ann Karen Mulcahy Registered Nurse 1600 E Olive Street, Sound Mental Health, Seattle, WA 98122 2011-10-12
1528386307 Christine Britton Registered Nurse 10825 Crestwood Dr S, Seattle, WA 98178-3125 2010-05-04
1780822320 Joan L Leck Registered Nurse 11424 Arroyo Beach Pl Sw, Seattle, WA 98146-1669 2009-02-04
1891912994 Rebecca Bowling Registered Nurse 2414 Sw Andover St, D-120, Seattle, WA 98106-1153 2007-04-19
1457372518 Dianne Marie Pratt Registered Nurse 6534 4th Ave Ne, Suite 103, Seattle, WA 98115-6440 2006-07-22
1851904817 Maxwell Patrick Taylor Registered Nurse 325 9th Ave, Seattle, WA 98104-2420 2020-08-28
1679109896 Emma Dotson Registered Nurse 325 9th Ave, Seattle, WA 98104-2420 2020-03-19
1053959551 Elizabeth Shevins Registered Nurse 325 9th Ave, Seattle, WA 98104-2499 2019-12-16
1538720859 Brendan O'toole Registered Nurse 216 James St, Seattle, WA 98104-5102 2019-06-26
1619441508 David G Minetti Registered Nurse 2119 2nd Ave, Seattle, WA 98121-2207 2019-01-14
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Competitor

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City SEATTLE
Zip Code 98104

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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